Provider Demographics
NPI:1932482379
Name:AMBUCARE INTERSTATE AMBULANCE, INC
Entity Type:Organization
Organization Name:AMBUCARE INTERSTATE AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-535-9948
Mailing Address - Street 1:11 INTEGRA DR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5150
Mailing Address - Country:US
Mailing Address - Phone:866-535-9948
Mailing Address - Fax:877-633-4569
Practice Address - Street 1:150 GREAVES LN STE L
Practice Address - Street 2:SUITE 142
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-2173
Practice Address - Country:US
Practice Address - Phone:866-535-9948
Practice Address - Fax:877-633-4569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport